Dietary Supplement Age Verification Form

Dietary Supplement Age Verification Form Template

When selling dietary supplements restricted to adults, you need more than a simple "Are you 18?" checkbox. This age verification form template helps health and wellness businesses, supplement retailers, and e-commerce brands confirm customer eligibility while protecting themselves with proper health disclaimers and acknowledgments.

Whether you're selling weight loss supplements, performance enhancers, CBD products, or other age-restricted nutritional products, this form ensures regulatory compliance and reduces liability by capturing verified age information, health disclosures, and informed consent—all before checkout.

Why use Paperform for supplement age verification?

Built for health and wellness brands that need flexibility and compliance, Paperform lets you customize this template to match your brand, add conditional logic based on customer responses, and connect directly to your e-commerce platform or CRM. With built-in payment processing through Stripe, PayPal, and Square, you can verify age and complete the purchase in a single seamless experience.

Once submitted, use Stepper to automatically route approved verifications to your fulfillment system, send follow-up emails with usage guidelines, or flag orders that require manual review—keeping your operations smooth and compliant.

What makes this template essential?

This form goes beyond basic age gates by collecting date of birth, government ID information (optional), health condition disclosures, and explicit consent to purchase. Conditional logic shows relevant health warnings based on product type, and the success page reinforces safe usage guidelines.

Perfect for supplement brands, nutrition stores, online retailers, fitness companies, and wellness practitioners who need to balance regulatory requirements with a friction-free customer experience. Trusted by health-conscious businesses that care about customer safety and legal protection.